The Clinical Pharmacy Specialist - Emergency Department is responsible for the provision of comprehensive clinical pharmacy services in the ED at Nicklaus Children's Hospital. This role will primarily be focused and based in the Emergency Department and will also have other responsibilities depending on departmental need. Clinical responsibilities for this role include but are not limited; to participation in critical and acute resuscitations, traumas, and codes, support in the selection, procurement, preparation, monitoring and administration of medications, prospective medication order review, medication reconciliation, discharge patient consultation, drug information and education, precepting and training of pharmacy staff, residents, and students, and policy and pathway development, implementation and review including pharmacokinetic and therapeutic consultation, clinical effectiveness program (CEP) involvement, quality improvement and medication safety
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- Performs and documents drug therapy monitoring and interventions on medication dosing, administration, drug interactions, monitoring and adverse reactions.
- Actively participates in clinical pharmacy program and services, ands act as a consultant in areas of expertise.
- Responds to pediatric and adult codes/traumas in ED and throughout
organization as assigned.
- Assists with admission reconciliation, discharge counseling, order processing and delivery to area of service.
- Attends and actively contributes to daily patient care activities, clinical services meetings, hospital committees, task forces and projects, including protocol/pathway development, order set development and optimization, and cost-savings and quality initiatives as assigned.
- Executes established policies, procedures and protocols to ensure safe, appropriate, cost-effective medication therapies for patients and recommends therapeutic alternatives to medical staff as needed.
- Documents quality activities to achieve established metrics to meet standards of DNV-GL accreditation, institutional, state and federal requirements on interventions, adverse reactions, medication errors, contraindications, drug-drug interactions, drug-food interactions, allergies and appropriateness of drug and dose.
- Demonstrates and maintains competency with safe use of pharmacy and hospital clinical information systems (Cerner, PyxisES, C2Safe, Baxa TPN Dose Edge, Vigilanz, MILT4, Lexicomp, and PC desktop systems).
- Provides drug information through in-service education and daily support for pharmacy department staff, hospital clinical staff, medical residents and medical staff and consultation with patients and families.
- Functions as a Staff Clinical Pharmacist as assigned, and satisfactorily performs the essential duties of the role for medication management.
- Assists with training of pharmacy staff on code response and emergency preparedness.
- Develops quality improvement projects and participates in the quality improvement and medication use review activities of the department.
- Precepts and educates pharmacy residents and pharmacy students. F: Monthly/ T: 40+ hours R: Individual
- Prepares and collects data for MUE's, drug monographs for the P&T and special projects assigned by Clinical Manager.
- Provides clinical support for multidisciplinary committees, including the Pharmacy and Therapeutics Committee, through development of materials to support clinical evaluation of drugs, procedures, and processes including the coordination and reporting of adverse drug reactions, pharmacist interventions and other quality initiatives, within areas of direct responsibility.
- Achieves cost savings targets and actively contributes to the pharmacy department's pharmacoeconomic efforts and formulary management and assists the department leadership with maintaining budget targets.
- Provides clinical support for multidisciplinary committees, including the Pharmacy and Therapeutics Committee, through development of materials to support clinical evaluation of drugs, procedures, and processes including thecoordination and reporting of adverse drug reactions, pharmacist interventions and other quality initiatives, within areas of direct responsibility.
- Advances the profession through publication, presentations at local, state, or national meetings and providing community education.
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